Active NPI
Rosebud Family Consultants
- Clinical Social Worker
- Saint Charles, MO
National Provider Identifier
1003080979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW001311
- Legal business name
- ROSEBUD FAMILY CONSULTANTS
- Practice address
- 1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449 - Phone
- (636) 724-2922
- Fax
- (636) 724-2928
- NPI assigned
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Allen Brautigam, LPC, NCC
- Title
- Partner
- Phone
- (636) 724-2922
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2001031938 | MO | |
| Clinical Social Worker | 1041C0700X | SW001311 | MO | Primary |
Addresses
Primary practice location
1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449
Mailing address
1360 S 5TH St
Suite 346
Saint Charles, MO 63301-2449
Phone (636) 724-2922
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saint Charles, MO
- NPI 1124116744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1003080979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S 5TH ST",
"address_2": "SUITE 346",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012449",
"telephone_number": "636-724-2922",
"fax_number": "636-724-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S 5TH ST",
"address_2": "SUITE 346",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012449",
"telephone_number": "636-724-2922",
"fax_number": "636-724-2928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEBUD FAMILY CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "BRAUTIGAM",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "636-724-2922",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001031938",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "SW001311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.